I’m very curious why no plastic surgeons ever talk about doing facial exercises? I do them all the time it’s amazing how you can keep your facial muscles firm and tone like the rest of your body! There are 43 different muscles in the face! I do my face exercises right after I get done with the gym or my swimming laps. I do them three times a week! You can do them while you’re driving while you’re watching TV anytime! I am 69!

I'd like to see someone over 50 who has used your products for x months with before and after photos without filters and without the professional lighting that makes skin look great when it isn't. I've seen too many "results" done via a truthful photo shown next to a professional photo job that makes all the flaws go away.

Please do a video for women in their 60’s who have had NO fillers, but are interested! And let’s see an example :) I volunteer! This late 40’s described as “aging” is ridiculous after you’ve turned 60!

But why is it that so many professionals and celebrities make this mistake and think it’s fine? And they have so much money to get the best people?

I had filler in my tear trough 5 years ago. It migrated under my orbital bone onto my upper cheek and would swell enormously. Over the last year I have had several sessions of trying to dissolve it. Not only has it been a hassle, dealing with repeated bruising etc, but it has also been much more expensive than the original filler. Be very careful about tear trough filler. I was told it would last around 6 months and I’m still dealing with it 5 years later!

I’m 55 and have fillers in cheeks, nasolabial and jowls and it looks fantastic! Just 2.5 ml in total on the face. And I keep my weight up to keep fat in face by enjoying my life with for example, a glass of wine and chocolate occasionally as well as good nutrition. If you keep a little extra pounds on as you get older it helps to fill out any sagging. Great video to remind us that to keep this up would mean looking odd, though I disagree with your timeline of in your 40s …. yep, soon be time for surgery …..if we all have the courage and dollars ….

I’m an attractive 63 woman. I’m on day eight of a CO2 laser peel and I’m very grateful. I had filler once in 2016 and looked fake. Filler is over used and often used incorrectly. Thank you for being the first medical personnel who has spoken about what I intuitively always knew to be true. Dr. Karan you are now a face/skin mentor I will listening to and following.

Always great information, in clear terms that we can all understand. It's good to know whether these fillers and tweaks will have the right effect, because looking younger isn't always the goal, better to look good for one's age rather than weird for ANY age😅

This is on point!! I work in Plastic surgery and have had fillers. I have prominent bone structure luckily and didn't need fillers till 50 yrs old. I'm 57 now and get very small amounts. It's sad to see so many women with overfilled puffy fat pillow faces. You have to know when to stop filling and get a surgical face-lift!!!

I just turned 60 and have been using your skin care products for the past year and have seen a significant difference in my skin tone. An evening of the tone. A brightness. A lessening of dark spots. A firming healthy younger glow. I love your products. The polish really started to make a big difference. I will have to leave a review on your page with before and after shots Thank you!❤

This is so educational. Your explanations are so comprehensive - most of all, they help me to understand the relations between different parts of the face. Which is something most of us don't understand when we walk into the practitioner's office. I had a premature deep trough in my mid-face fat pads (around the age of 40) and had it treated with a filler a couple times. I don't regret doing it, it helped to fill the hollowing but I definitely don't want to repeat it. I can see in my photos that I looked a bit overfilled - round like a tomato - at some point. I can see how it could easily cross the line to something very unnatural looking.

Excellent video Dr. Karam! I've been a little curious about lip fillers and this video has helped me understand the difference between lip lift and lip enhancement. Thank you so much for all the hard work and dedication you put in making these videos and educating us! Have a fantastic day! 😍❤️

Thank you for this very, very helpful explanation! I think a lot of women around my age are really questioning which treatments make sense aesthetically (and financially!) and there is so much information out there. Thank you for weighing in with your professional opinion.

I usually get juvederm in my lips, and last time my lady have me a new filler and did a bit in my cheeks and lips, and it has held up INCREDIBLY. Not only volume, but shape. I will find the name and comment here, because I'd love to hear his opinion on it

As always informative 😊 I got on the treadmill and there you were! My workout became easy . I stopped using fillers a couple years ago . For me it will be a fat transfer in the hands of someone knowledgeable, which is most likely you 😊 Thanks Dr. Karam for doing amazing work!

Thank you for informative and honest videos. Would you consider making a video targeted for mature women 60 + who have had or will be getting a face, neck lift about what they can do during surgery, or what they can do post surgery, if they have already had it, to tweak their face to look more youthful? Many women do not realize that F. and N lifts will not replace fat loss, and they will still most likely need fillers to look their best especially the 60+age group. Please explain what a, mid- lower face lift, a neck lift or brow look can achieve and what it cannot achieve. I know many women who have gotten lifts and they are happy , yet disappointed because the lifts did not address wrinkles and hollows . Please explain how this age group could benefit from fillers, plasma injections, fat injections post surgery . Also how long should they wait after a face lift before getting fillers, lasers, IPLs, BBL etc? Thank you again Dr Amir for your educational videos .

I hope I get to consult Dr Karem in person one day. For the time being these videos help a great deal. I have had fillers twice & Botox a few times and I can tell you from my experience that it’s the injector that’s as imp of not more than the products itself. Subtlety is everything

Great video.....I had my first face lift at 45.....I looked amazing for ten years..then I had another..great result...I'm now 75..look ten years younger..... Looking back I made smart moves....having a full face lift over the age of 60 usually looks wrong ..... Regarding lips..I had a procedure called softform inserted in my top lip...which is still there keeping my lip from shrinking... Also dermabrasion was used to scrape away upper lines above lip.. I had permanent implants placed at cheekbones..(Small).... This all took place when I was under 55......and I have always looked natural We can't avoid looking older but I do not regret any of these procedures.....except recent botox..but that's another story

Excellent video! I am an aesthetic NP. This is solid advice. I echo your sentiments here and very transparent with my pts, I feel there is a place for touch up and tweaks and enhancements with filled but not recreating fake cheek or jawline fads. Thanks for the transparency. Appreciate that you are not dissuading viewers to see their aesthetic providers😊

I didn’t have a wrinkle at 40 or even 49 or much volume loss but menopause really aged my skin in just 18 months. My diet was excellent but there are certain nutrients: foods that support menopause and the effects . Bone loss in the face can also affect aging.

This is excellent! I used to get fillers but now 65 and past that stage I see what you describe, people - men and women- desperate to look young again instead of healthy!

I’d love you to show examples of these filler uses. Great information and so valuable.

amazing advice for the cheek fillers. Been researching this for a while (no, at this time I dont need anything done at all, no wrinkles, no skin sagging but love knowing things) and you are the best .

I absolutely love your videos. You are so real and explain our options in clear terms. Unfortunately for your type of business, I realize I would rather age as gracefully as I can without any surgical procedures. I am in favor of soft filling…to a certain point. At some point I’ll need to except how I look and rejoice in my health. I truly love your videos and think you are the most honest and experienced doctor I’ve listened to. You care…so I listen. Thank you.

When you look at your patients - do you thing HRT helps with facial ageing? It helps with osteoporosis prevention, so I am wondering if you think it also helps with facial bone loss.

Dr. Karam you make sense! I learn so much from you because you tell us the truth it's not fluff fluff! Thank You so much!

Will you please talk about at home microcurrent devices as well? They're very trendy right now and the results seem subtle yet aesthetically pleasing. Thanks.

I RAN INTO DR. KARAM'S VIDEOS BY CHANCE...AND I AM CONTEMPLATING ON THE FORTUNATE DAY THAT I AM ABLE TO GET A FACIAL FAT TRANSFER IN THE FUTURE. DR. KARAM IS THE ONLY DR. I WOULD EVER TRUST.

I recently had my second injection of under eye filler dissolver. I had eye fillers and, therefore, bags for 8 years.

Thanks Dr Karam for being real and the education in what is possible and what is not.

I lost 60 pounds in my 50s. My face lost fat as well and looked tired and sad. I am 54 now and did fillers last week. I am more than happy with results. I don’t consider surgery yet, because of the cost and potential complications

Here because I was curious about the title. The truth is if you do strategic skincare at a very young age daily and continue to do so for decades you will truly slow down the aging process. People think I'm half my age and I started diligent skincare at 15. Now in my early 40's people think I'm in my early 20's. I know exactly the difference between actually looking very young and not having wrinkles, these are two very different things. I am Asian and have great genetics to begin with but it's really the strategic skincare that I did diligently on a daily basis for decades that have helped me. Also lifestyle is part of the equation, as well as diet, and mental health. It's really important to exercise and have a positive mindset, it will show up on your face. Also to be healthy in eating habits but not too stringent or you will age from that as well. You have to be smart with skincare too. You have to know what actually works the best. I always see people getting fillers and they start to look ridiculous, sorry to say. And imagine putting that in your face year after year and for decades, how will one end up looking? Anything that is aggressive to the face, whether that is injections or surgery is going to accelerate the aging process. I've never had botox. Not interested in fillers, just skincare for decades. It's the compound factor effects of doing something daily that will put you in a place where you are aging better than anyone else you see. But most people don't realize this and sleep on it and when it's too late they try to solve it with these aggressive treatments. As I said, anything aggressive such as injections including SURGERY will accelerate the aging process. But if you have to do these extreme things because you just didn't know then I get it. But the misconception that these extreme measures are better than doing daily and consistent skincare for decades since a very young age, which have such an extreme compound effect is exactly why the plastic surgery industry is booming. And the fact that I didn't get injections or surgery on top of my skincare is why I look younger. If I added injections and surgery I would definitely look so much older than I do!!! I think even in later age getting serious about skincare can do so much. And just remember if you still have a shot at maintaining your youthful looks, go the daily skincare route. I repeat, any time you do aggressive treatments you are actually accelerating the aging process. As for these facelifts, I would think that this is a last resort for those that feel like they have no other options. Best of luck to you all.

Thank you so much for your honesty & careful explanation of fillers, Dr Karam! You didn't mention marionette lines, which I have. I have had filler one time & it looks so much better. However, I am concerned now if I should come to your office to have them filled again.

The MOST comprehensive video on this topic, thank you SO much for the detail Dr Karam!

I appreciate you sharing your knowledge! Can you please speak to options for a 60+ female who is not a candidate for a surgical lift due to a cardiac condition? Thanks in advance!

Finally, I found reasonable advice!!! Thanks Doctor !

I had tear trough filler put in 2016 - Still looks fantastic.

Very happy with my injector as she is in complete agreement with you and is very careful. It is time to save for the facelift and your videos have been so good in educating me

My favorite woman that I see at the spa I go to doesn't have any filler or anything in her face which means she tends to do things very lightly which I like. She used One syringe of the versa to do the tiniest bit under the apples of my cheeks and in my lips andIt's so subtle and keeps the shape so well. I love these videos from you because they're so informative and Even just your skin care ones have really opened my eyes and since I've really started taking care of my skin it's made such a difference.

Thank you for info ! It gives me clear picture what is the right and best way for my face 🙏🏻

I like that you don’t bash filler but tell us where it’s beneficial. Not every surgical operation is the solution when filler can be discreet quick and safe. That being said I see that there a limitations of what is possible

Great explanation of moderate use of fillers. Over 7 years I’ve had 3.5 cc. It looks balanced and refreshed. If I ever decide to take the next step in facial rejuvenation it will be surgical.

Great information to know! Thank you Dr. Amir. Quick question? Could you discuss about retinol's negative effects on fat transfer? I recently heard that new findings state using retinol depletes the fat in the face. Is this true? If not, please educate us on retinol and effects of fat transfer and face natural fat.

Every injector needs to watch this

Great information 👍🏼 Aging is so depressing. It is so hard not to compare ourselves to others😩. You do fabulous work. I’m way past fillers. I need surgery. I do see women I know starting to just look weird from getting fillers. They think it looks good. I think they get used to it and can’t see what they really look like😳 yikes. But they probably think I look old🤣🤷🏼‍♀️

I love watching your videos and wish I could afford one of your surgical procedures. For now my focus is trying to retain my youthfulness naturally.

What an excellent class Dr. Karam. All explanations and information was very easy to understand and this is a very important class. I have seen ladies with too much filler so I knew exactly what you were talking about. Such an educational and informative video and so needed Dr. Karam. Your videos are invaluable and that is why I like to tell the young ladies in my family to watch them. Thank you so much for a great video Dr. Karam.

you're fabulous, Dr. Karam! I agree with everything you said.

Thanks you this has helped I’m 45 and I’ve definitely lost my fat pads under my eye but I don’t want to look like a pufferfish. ❤

Terrific video! At the 10:55 minute mark of this video you describe my current status (initial stages of sagging). Before this video, I was considering Sculptra in the upper cheeks as I do have some volume loss in upper cheeks and under eyes. What would you recommend for someone who just turned 50, who is experiencing mild sagging but not ready for a faclift or vertical restore yet?

this was extraordinarily helpful and thorough.

So informative, thank you! Would love to know your opinion on Sculptra and Bellafil specifically versus the hyaluronic fillers.

AMAZING DOCTOR…CANT WAIT TO BE TREATED BY HIM..Thank you so much for sharing..BLESSINGS 🙏

I admire your honesty ....

I did this, overfill but I was lucky and it went away when I backed off the filler. I got a deep plane lift and I look awesome! I am friends with my surgeon so he hooked it up and I did it awake so it was affordable.

I saw another prominent plastic surgeon recently making videos saying that the fat transfer could possibly move around and look strange because the fat is being transferred to your face from another part of your body.Saying basically because it isn't your own natural facial fat it could move to different areas of the face or change shape is that possible?

What about face yoga? A great non invasive way to keep the face from sagging

you are most definitely an expert, best information ever, thank-you for being honest and making sense. I wish i could afford a facelift, you would be the man!!

Imagine if this much time, talent and treasure was invested in mind, soul and character how beautiful these women would be.

Any opinion about EZ gel plasma used as a replacement for fillers in the Tear trough under eye area??? An also every time you use needles will create scar tissue in the delicate area and your body will produce collagen?

Dr. Karma, you didn’t address marionette lines. I’m 65, I have very pronounced marionette lines, and significant sagging. Will fillers in this region help at all? Thank you for addressing this! ❤️

Would be interesting to get your opinion on PRF injections for replacing volume since that would fit in nicely here. I've been using it on myself for some years and very pleased with the results although not for people who want instant results

Fascinating! You have a new subscriber. Do you have any videos addressing Simon Cowell, Kenny Rogers, or Barry Manilow? IMHO they didn't turn out too great. Wondering what happened.

Your the best Dr. Karam.

The very first time I had filler to a deep line off of my left lower lip area & nasal folds, The areas became infected. Took antibiotics & steroids to get rid if it. I waited 18 mos to try again with a diff person injecting - more conservative and diff product . It softend the deep wrinkle, but did not totally remove it. I came to the conclusion that it is not worth the money or risk. Once I finish the current skin care line I am using i will purchase the Trifecta and accept the fact that at 63, with my Italian heritage I hoping that will be on my side . My mom is 92 and does not look it, hopefully genetics transfer to me as well

I really would like a video about the technic "thread lift". As I understand now: thread lift is ok, but the problem is: it has to be repeated every three to six months AND it does not help with fat loss. Am I right? As there are "mini-invasive" doctors who combine thread lift and fillers. What do you think about that? I would appreciate a video about that topic. Thank you for your great explanations!

As a Licensed Esthetcian, I love watching your videos and learning from you. We use Nuface and Cryotherapy to lift the face. I would love to know your opinion about these modalities? Thank you!!!

Thank you doctor for all the sound advice you provide on this Chanel! Very grateful for you!

Wow, this was very educational and very helpful. Thanks so much Dr. Amir! 🙏

Thank God for Sculptra and an amazing medi doctor. I like it because of the natural look and it lasts.

wow, awesome informative video, thank you! and I 100% agree with everything you are saying! I tried cheek filler in a small amount years ago and I didn't like it when I smiled! my cheeks looked big in pictures, hated that! and my face looked wide, and I have a small face. Glad its all gone now. I've seen girls who fill their lower face and they look thick down there, not a good look! less is more for sure!

Dr. Karim you are a genius and an artist! Do you train or recommend surgeons in other parts of the country? I would feel safe with a surgeon who had been trained by you.

Hi, I’d love to know your thoughts on things like fibroblast (the little holes all over your skin) for tightening it up and preventing sagging?

You are THE best! Loved this video! I love your honesty, integrity, and your beautiful outcomes. I follow you closely and it’s great to not have these guidelines going forward. I also love the Trifecta! Just the icing on the cake for now! Thank you.

Thank you for the reality check and excellent information.

wow...great information. The very best explanation I've yet watched

I stopped using filler 8 or 9 years ago and I STILL have some of the garbage in my face, and not where I wanted it! It moved. A plastic surgeon pointed it out to me. I will never use them again anywhere.

Really interesting and valuable information as always! Why is it I feel you’re the authority in this field? If only you were in the U.K. Dr K.

This is all Great education. But it's frustrating knowing that unless I win the lottery, I'll never be able to "fix" what needs "fixing". Your wife is a lucky lady, she'll never "grow old" under your care!

This is the best video I've watched on how to best use fillers. Curious, what are your thoughts on PRF injections and EZgel? Thanks for all your advice!

What about Sculptra in the cheek area? I have some skin laxity there but also a lot of volume loss to the point where people ask me continuously if I've lost weight when I haven't. I thought Sculptra was good for cheeks and nasolabial folds?

Love watching your videos. Does so much for knowledge.

Great advice,👍 what are your views, on PRF & PRF EZ gel fillers. for filler natural collagen building ?

You are beyond amazing! I learn so much after each video I watch. Thank you for taking the time to share this valuable knowledge to help women like me make informed wise choices. I'm 47 years young :) use small amount of botox and small amount of filler on the lips. I'm happy I found you. If I should decide to want something more in my future. I know of you which is awesome!! I will definitely make the journey to meet you.

I live in the Bay Area but I’m thinking I’m going to have to start going down to SD when I decide to get some work done ❤

I am 54. But dont know who is the best plastic surgeon in Tehran Iran. Can anyone help???🧡❤

Thank you. Please what about those who’ve had surgery, and then ad yearly fillers? Thanks so much!

You videos are awesome! Kudos to the team!

I messed up, I got filler under my eyes, I had my eyes done 20 years ago and they look hollow, Now i got some dissolved but my eyes need to be done again, I feel screwed, I was overfilled.

You explain everything so well! Thank you fro your informative videos. I've learned so much :)

A wonderful explanation. Thanks Doc.

Dr Karam why don’t you mention the muscles losing strength and tone?

How do we really Know what a person really Is suppose to Look like as they are older? No matter what we do we can never know. How is that possible? I’m okay with probably risking not looking like Myself. But I feel like that would only happen if I just let myself get old looking without any maintenance. Then get a total or complete face lift or vertical restore. I’m really curious about this. And because we will look different,people will always react negatively,because it’s scary to look at someone who’s become someone else in the face. I think we will probably just get desensitized to all that in the future and is that good? Will it actually flip around on itself? Will it be something negative to the point where people won’t do surgery anymore? I hope I get to experience in my lifetime where we don’t age at all. Actually where genetics and science combine. I really loved this video you did. It seems like so many surgeons on KZfaq now are just making videos not even working anymore so I appreciate that you are working on people changing lives and faces and then giving us your knowledge about it. Not the stuff you learn in the community of KZfaq.

Fantastic information , amazingly well detailed explained woow! 👌 👏👍 thank you!!

Thanks for this. I learned so much.

Yup.... I've never overfilled, thankfully, I had a Dr who was judiscious in what he would give me... Now in my late 40's I just now need the bank balance to fly to the US and get your brilliant work done. Because laxity is coming in strong.. and I do not want the overfilled look.

Uhhh.. my filler literally lasts 4 months. No, it isn’t migrating, yes, it’s supposed to be longer-lasting. It looks fine but I metabolize it rapidly. I used only sculptra for many years and after 9 months it was like I’d used nothing at all. Lips? Maybe 3 months. Dysport, not a filler does last for 4 months for me the way it should

Dr Karam, what about fillers in forhead & in between the eyes!

You give excellent information and advice. If I ever had the means, I would definitely come to you. I appreciate all the information you provide to people so they can make safe, informed decisions about their health . No one wants to come out worse off than going in, yet even celebrities with huge financial resources, didn’t bother to do their own research; they should have interviewed MANY doctors and researched their work before committing to any procedure. Gwen Stefani and Madonna are unrecognisable and both WERE very beautiful women, before their procedures. Can they be restored or are these procedures that have deformed them permanent?

One very important question I have for anyone..... where are the MEN excuse my concern I have been watching for at least a year did I miss one of those gentlemen???? THANKS